Program and TBI Using Cognitive Coaching for Impact Caring. - - PowerPoint PPT Presentation

• Caring. Connected. Inspired.™

Fit Minds Interact Individual Program and TBI

Using Cognitive Coaching for Impact

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• Brain Science Primer
• Cognitive Stimulation Therapy Review
• Coach Approach
• Five Key Areas of Cognition
• Fit Minds Program Overview
• Putting It Into Practice

Presentation Overview

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What We Exercise Gets Stronger

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Neuroscience Basics

• Brain plasticity
• Synaptic density and

pruning

• Cognitive resilience

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Brain Plasticity

The brain has the capacity for continuous:

• physical
• chemical
• functional brain change

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Synaptic Density and Pruning

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Research Proves We Can Grow Our Brains

Medical students – University of Hamburg Gray Matter (the actual size of their brains) grew in a six week period!

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Cognitive Resilience

Learning - New and Challenging Other Factors

• Physical Activity
• Good Nutrition
• Social Stimulation
• Meditation/Prayer

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Cognitive Resilience and Trauma

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Cognitive Resilience and Disease

Sister Bernadette

• Died at 85 of a massive heart attack
• MRI scores - high amount of grey

matter

• High mental scores

Autopsy of her brain....

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Cognitive Resilience and Disease

She had advanced Alzheimer’s (BRAACK Stage 6) 46% risk reduction She had NO symptoms

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• As effective as several dementia drugs
• Increases quality of life for clients
• Reduces stress for caregivers
• Plays important role in delaying disease progression
• The UK National Institute for Health and Care

Excellence (NICE) mandates CST for individuals with mild to moderate dementia

Research Supports the Efficacy of CST

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“People with mild / moderate dementia of all types should be given the opportunity to participate in a structured group cognitive stimulation programme. This should be commissioned and provided by a range of health and social care workers with training and

• supervision. This should be delivered irrespective
• f any anti-dementia drug received by the

person with dementia”. NICE Guideline 42

Coach Approach™

• Emotional support
• Understanding

affection

• Personal concern

Emotional memory

Coach Approach™

Coach Approach™

• One thing at a time
• Short, understandable, consumable
• Processing time – patience

Coach Approach™

Coach Approach™

• Agitation and anxiety
• Sufficient physical and mental activity
• Pleasantly tired

Coach Approach™

Coach Approach™

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• Language and Music
• Visual/Spatial Orientation
• Memory –Working & Long Term
• Critical Thinking
• Computation

5 Key Areas of Cognition

Global Is Best

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Language and Music

• Speech Perception
• Semantic Association
• Speech Production

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What Does This Mean?

• Rhyming and Rhythm Exercises =

Speech Recognition

• Word Matching = Semantic Association
• Word Puzzles = Speech Production

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Time to Exercise Language

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Visual/Spatial Orientation

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Visual/Spatial Orientation

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Time to Exercise Visual Spatial

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Memory

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Core Executive Functions

Working Memory

Reasoning and Decision-making

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Time to Exercise Memory

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Critical Thinking

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Time to Exercise Critical Thinking

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Computation

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Time to Exercise Computation

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• Most beneficial program
• Promotes brain health in both healthy people and people with

dementia

• Tailored to individual’s level of cognition across five key areas
• Each session includes activities across all five areas of cognition

pulled from a database of 2500+ exercises.

• Delivered one-on-one by certified cognition coaches
• Provides a positive environment that adds structure and mental

and physical stimulation

• Builds confidence through meaningful engagement

Fit Mind Interact Individual

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• Improved ability to communicate with others within the

community

• Improved desire to engage
• Improved mood and reduction in anxiety
• Reduction in challenging behaviours
• Improved cognition - MoCA and MMSE scores improved
• Improved quality of life – QoL scores improve

Observed Benefits

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• While dementia changes relationships, it doesn’t end them. Mom is still mom. Dad is

still dad. Individuals challenged by dementia still want and need human interaction. That is why our programs focus on supporting those relationships.

• We should have an attitude of gratitude towards our seniors. The individuals who

went before us, built the society we now enjoy. We owe them a debt of gratitude.

• We have a responsibility to support all people to age with dignity. With age comes
• vulnerability. We deal with a body that is less strong than it was at twenty. A mind

that may be a little slower. We need a little more support. However, we are still adults. That is why our programs our not ‘childish’ but focus on adult ideas and topics.

• Life can be full of joy – no matter how old we are. Life should be joyful and filled with

love.. Our programs aim at fostering a sense of fun.

• As we age, we still care about connecting with other people. Everyone has a

fundamental need to connect. That need impacts our mental health. Strong social networks help us age well. Our programs encourage building and maintaining these networks.

• We believe in drowning the evil of loneliness, isolation and despair in the abundant

goodness of caring and connecting. That is what motivates us each and every day.

Core Values: What We Believe at Fit Minds

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Nicole Scheidl Nicole.Scheidl@fitminds.ca www.FitMinds.ca

Thank You